Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $10.77 / $12.47	Facility	26	$10.77	$10.77	$12.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.96 / $91.25 / $95.97	Facility	TC	$24.96	$91.25	$95.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $32.00 / $56.11	Professional		$26.78	$32.00	$56.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.59 / $14.07	Professional	26	$8.46	$9.59	$14.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.68 / $42.04	Professional	TC	$18.32	$21.68	$42.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $42.75 / $62.94	Professional		$32.35	$42.75	$62.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.15 / $17.17	Professional	26	$8.73	$12.15	$17.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $29.48 / $45.78	Professional	TC	$23.61	$29.48	$45.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $43.93 / $72.31	Professional		$34.38	$43.93	$72.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $14.23 / $21.10	Professional	26	$10.19	$14.23	$21.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $30.76 / $52.27	Professional	TC	$21.65	$30.76	$52.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $50.29 / $95.07	Professional		$41.22	$50.29	$95.07
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $13.39 / $24.16	Professional	26	$11.13	$13.39	$24.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $34.81 / $65.31	Professional	TC	$30.09	$34.81	$65.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.47 / $12.47 / $12.47	Facility	26	$12.47	$12.47	$12.47
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $34.28 / $91.25 / $98.69	Facility	TC	$34.28	$91.25	$98.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $37.40 / $65.31	Professional		$26.78	$37.40	$65.31
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.77 / $19.87	Professional	26	$8.46	$10.77	$19.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $25.37 / $46.37	Professional	TC	$18.32	$25.37	$46.37
United Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $41.63 / $80.66	Professional		$29.63	$41.63	$80.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $13.49 / $23.98	Professional	26	$9.74	$13.49	$23.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.02 / $26.85 / $51.97	Professional	TC	$19.02	$26.85	$51.97